ICP: A midwifery perspective

Research output: Contribution to journalReview articlepeer-review

Abstract

Background: ICP is a liver condition specific to pregnancy affecting 0.5–0.6% of pregnancies in Australia. 

Aims: to review the SOMANZ guidelines and extrapolate information relevant to midwives proving care for women with ICP. 

Findings: Multidisciplinary input is essential in caring for women with ICP and their families. Non-fasting TSBA samples ≥19 µmol/L are diagnostic in the presence of pruritus. Peak TSBA denotes the severity of the disease. Increased risk of stillbirth is small when peak TSBA ≥100 µmol/L. 

Conclusion: Midwives play an essential role in supporting women with ICP helping them navigate complex appointments and manage the pruritus and concomitant issues.

Original languageEnglish
Pages (from-to)152-156
Number of pages5
JournalObstetric Medicine
Volume17
Issue number3
Early online date28 May 2024
DOIs
Publication statusPublished - Sept 2024

Keywords

  • Intrahepatic cholestasis of pregnancy (ICP)
  • midwives
  • peak total serum bile acids (TBSA)

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